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Nursing Communication Orders. Used inappropriately can cause safety/quality issues * Missed orders * Delays in care * Medication errors. Nursing Communication Orders by Category 221 “physician order” types out of 400 randomized nursing communication orders
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Nursing Communication Orders Used inappropriately can cause safety/quality issues * Missed orders * Delays in care * Medication errors
Nursing Communication Orders by Category 221 “physician order” types out of 400 randomized nursing communication orders (approximating a 5-hour period in Jan-mid Feb 2013)
Solutions • Investigate why physicians use nursing communication order rather than established pathways • Create order sets if needed or missing • Educate physicians about existing order sets • Monitor inappropriate use of nursing communication orders • Eliminate nursing communication orders pathway